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Tonsillectomy (child under 12) at University Hospitals Beachwood Medical Center
25501 Chagrin Boulevard, Beachwood, OH · University Hospitals · · NPI 1841789427
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$2,693.60 with University Health Employee Plan (Contigo) vs $14,184.79 with Medical Mutual of Ohio Trad — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| University Health Employee Plan (Contigo) | Commercial | $2,693.60 | — |
| Aetna | Commercial | $4,609.00 | — |
| Aetna | Medicare Advantage | $5,600.62 | — |
| Anthem | Medicare Advantage | $5,600.62 | — |
| Cigna | Medicare Advantage | $5,600.62 | — |
| Devoted Health | Medicare Advantage | $5,600.62 | — |
| Humana | Medicare Advantage | $5,600.62 | — |
| Medical Mutual of Ohio | Medicare Advantage | $5,600.62 | — |
| Molina | Medicare Advantage | $5,600.62 | — |
| Primetime Health Plan | Medicare Advantage | $5,600.62 | — |
| SummaCare | Medicare Advantage | $5,600.62 | — |
| The Health Plan | Medicare Advantage | $5,600.62 | — |
| United Healthcare | Medicare Advantage | $5,600.62 | — |
| WellCare by AllWell | Medicare Advantage | $5,600.62 | — |
| Paramount | Medicare Advantage | $5,768.63 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $5,880.65 | — |
| Valor Health Plans | Medicare Advantage | $5,880.65 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $7,952.87 | — |
| Ambetter | Commercial | $10,081.11 | — |
| CareSource | Marketplace | $10,081.11 | — |
| Anthem | Commercial | $10,916.47 | — |
| Cigna | Commercial | $12,835.12 | — |
| United Healthcare | Commercial | $14,158.33 | — |
| Medical Mutual of Ohio | SuperMed Commercial | $14,184.79 | — |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $14,184.79 | — |
| Medical Mutual of Ohio Trad | Commercial | $14,184.79 | — |
Visitor-reported prices
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Tonsillectomy (child under 12) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | not published | $2,693.60 – $10,081.11 |
| cleveland clinic main campus | Cleveland | $912.60 | $1.10 – $5,600.62 |
| akron general | Akron | $912.60 | $1.10 – $5,903.23 |
| mercy hospital | Canton | $912.60 | $1.10 – $5,768.63 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,993.83 – $2,308.65 |
| avon hospital | Avon | not published | $1,221.23 – $6,160.68 |
| euclid hospital | Euclid | not published | $1,251.18 – $6,160.68 |
| fairview hospital | Cleveland | not published | $1,175.43 – $6,160.68 |